"Tutorship Enrolment Form"
TUTORSHIP ENROLMENT FORM 2010-2011 Please return one form per student to the ICS Office: Telephone: 020 7623 1111 Fax: 020 7623 8118 Email: firstname.lastname@example.org Title: First Name: Last Name: Date of Birth: Job Title: Company: Business Address: Postcode: Home Address: Postcode: Email 1: Email 2: Telephone: Please indicate the address you would like us to send books and correspondence to - Home: Business: Please enrol me for the following courses: Introduction to Shipping £ Legal Principles in Shipping Business £ Economics of Sea Transport and International Trade £ Shipping Business £ Dry Cargo Chartering £ Ship Operations and Management £ Ship Sale and Purchase £ Tanker Chartering £ Liner Trades £ Port Agency £ Logistics and Multi-modal Transport £ Port and Terminal Management £ Shipping Law £ Marine Insurance £ Shipping Finance £ Total Terms and Conditions Tutorship starts when the completed enrolment form is accepted and payment has been received and lasts for 12 months. Tutorship concludes by the date of the final exam in 2010, or upon receipt of your final lesson feedback from your tutor, whichever is sooner. All payments must be made in pounds sterling. All course study material is copyright and therefore should only be used by the student to whom it is sent. It may not be shared or copied in whole or in part by any method. Tutorship reserves the right to make modifications to the courses (students will be advised of such changes) A tutor’s feedback does not constitute formal professional advice and should not be construed as such. No liability will be held by any Tutorship tutor or the ICS for any feedback that is misused. Please be aware that enrolment with Tutorship does not automatically register you as an ICS student nor enter you for any examinations with the Institute. The forms for registration and examination entry are available on our website www.ics.org.uk or will be sent to you as part of your Tutorship e-mail welcome pack. METHODS OF PAYMENT – please tick the appropriate box (all payments to be made in pounds sterling) Option One I have enclosed a cheque made payable to Institute of Chartered Shipbrokers and sent it to: Institute of Chartered Shipbrokers 85 Gracechurch Street London EC3V 0AA United Kingdom Option Two I have made the payment by BACS/transfer including my invoice number (eg. TUT 195) name and company details in the transmission information and sent a copy of this form to the Tutorship office. National Westminster Bank plc (Bishopsgate Branch). Sort Code 50-00-00 Account Number 15479234 Option Three Please debit the following account with £_________________ Card type: Visa Mastercard Switch/ Maestro Card Number: Expiry Date: Security Code: Name (as shown on card) Billing Address (if different from above) Please note a 3% bank charge will be levied to card transactions VAT Registration No: 447 0143 70 VAT ZERO RATED Tutorship Fees 2010-2011 Cost per subject: £325 for a single course Foundation Diploma/Advanced Diploma or 2 PQE subjects: £625 3 PQE subjects: £850 (£280 for each additional subject thereafter) Declaration I have read and agree to the terms and conditions of enrolment. I understand that enrolment for Tutorship does not automatically register or enter me for the ICS examinations Signed Date: This form is not valid unless signed.